Provider interviews revealed significant system-level barriers to advance care planning for patients with advanced kidney disease, including fragmented care, lack of shared vision, and unclear responsibility.
BACKGROUND AND OBJECTIVES: There is growing interest in efforts to enhance advance care planning for patients with kidney disease. Our goal was to elicit the perspectives on advance care planning of multidisciplinary providers who care for patients with advanced kidney disease. DESIGN, SETTING, PARTICIPANTS, (2) lack of a shared understanding and vision of advance care planning and its relationship with other aspects of care, such as dialysis decision making; (3) unclear locus of responsibility and authority for advance care planning; and (4) lack of active collaboration and communication around advance care planning among different providers caring for the same patients. CONCLUSIONS: The comments of providers who care for patients with advanced kidney disease spotlight both the need for and the challenges to interdisciplinary collaboration around advance care planning for this population. Systematic efforts at a variety of organizational levels will likely be needed to support teamwork around advance care planning among the different providers who care for patients with advanced kidney disease.
O’Hare et al. (Fri,) conducted a other in Advanced kidney disease (provider perspectives) (n=26). Advance care planning was evaluated on Provider perspectives and experiences related to advance care planning. Provider interviews revealed significant system-level barriers to advance care planning for patients with advanced kidney disease, including fragmented care, lack of shared vision, and unclear responsibility.